Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
9
pubmed:dateCreated
1998-9-24
pubmed:abstractText
"Damage control" in severe abdominal trauma, abdominal compartment syndrome, necrotizing fasciitis of the abdominal wall, and necrotizing pancreatitis often preclude closure of the fascia after laparotomy. Many techniques have been reported for temporary coverage of the exposed viscera, but most have had documented problems. We report the successful use, since 1989, of a temporary sutureless coverage. The viscera are covered with omentum when possible, then with a clear plastic sheet. Sump drains are placed over this layer. The entire abdomen is then covered with two layers of iodophor-impregnated adhesive plastic drape. The last 50 patients managed with this technique are reported. The most common indication (27 patients) was for treatment of severe abdominal trauma. There were no wound infections, fasciitis, or bowel obstruction. Eighteen patients died; no deaths were related to abdominal closure. Temporary abdominal covering with adhesive plastic sheeting is a rapid, safe, and readily available method for managing the open abdomen. This technique provides a physiologic milieu for the abdominal viscera, simplifies nursing care, and promotes safe closure of the abdomen at a later time.
pubmed:commentsCorrections
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Sep
pubmed:issn
0003-1348
pubmed:author
pubmed:issnType
Print
pubmed:volume
64
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
854-7
pubmed:dateRevised
2004-11-17
pubmed:meshHeading
pubmed-meshheading:9731813-Abdomen, pubmed-meshheading:9731813-Abdominal Injuries, pubmed-meshheading:9731813-Abdominal Muscles, pubmed-meshheading:9731813-Adhesives, pubmed-meshheading:9731813-Adolescent, pubmed-meshheading:9731813-Adult, pubmed-meshheading:9731813-Aged, pubmed-meshheading:9731813-Aged, 80 and over, pubmed-meshheading:9731813-Anti-Infective Agents, Local, pubmed-meshheading:9731813-Cause of Death, pubmed-meshheading:9731813-Child, pubmed-meshheading:9731813-Child, Preschool, pubmed-meshheading:9731813-Compartment Syndromes, pubmed-meshheading:9731813-Drainage, pubmed-meshheading:9731813-Fascia, pubmed-meshheading:9731813-Fasciitis, pubmed-meshheading:9731813-Fasciitis, Necrotizing, pubmed-meshheading:9731813-Female, pubmed-meshheading:9731813-Humans, pubmed-meshheading:9731813-Intestinal Obstruction, pubmed-meshheading:9731813-Iodophors, pubmed-meshheading:9731813-Laparotomy, pubmed-meshheading:9731813-Male, pubmed-meshheading:9731813-Middle Aged, pubmed-meshheading:9731813-Occlusive Dressings, pubmed-meshheading:9731813-Omentum, pubmed-meshheading:9731813-Pancreatitis, Acute Necrotizing, pubmed-meshheading:9731813-Plastics, pubmed-meshheading:9731813-Postoperative Complications, pubmed-meshheading:9731813-Surgical Wound Infection, pubmed-meshheading:9731813-Sutures
pubmed:year
1998
pubmed:articleTitle
Covering the "open abdomen": a better technique.
pubmed:affiliation
Department of Surgery, Stanford University Medical School and Santa Clara Valley Medical Center, San Jose, California 95128, USA.
pubmed:publicationType
Journal Article